冠脉介入术后感染分析及预防措施探讨  

Related factors for infections after percutaneous coronary intervention and prevention measures

作　　者：金建芬[1] 孙红娟[1] 谢剑昶[1] 丁卫华[1] 

机构地区：[1]杭州市第一人民医院心脏中心,浙江杭州310006

出　　处：《中华医院感染学杂志》2014年第22期5587-5588,5591,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技基金资助项目(2011KYB064)

摘　　要：目的分析冠脉介入术患者术后感染的相关病因、诱因、感染途径等,探讨预防术后感染的相关措施。方法统计2013年1-12月进行冠脉介入治疗共625例患者临床资料,统计术后感染患者的年龄、性别、基础疾病、手术时间、介入途径及预后情况。结果术后感染患者46例,感染率7.36%;感染患者患有糖尿病(P=0.009)、慢性肺病(P=0.006)、急性心肌梗死(P=0.005)和手术时间长(P=0.001)等因素与术后感染有相关性;感染途径以呼吸道感染为主占78.26%,其次为消化道占10.87%;44例感染患者经过治疗后好转,2例患者死亡。结论高龄、合并急性心肌梗死等慢性疾病、手术时间较长等均和术后感染有相关性,术前准确评估病情,术中完善无菌操作,术后及时干预是避免感染的重要方式。OBJECTIVE To explore the related causes ,predisposing factors ,and routs of the postoperative infec‐tions in the patients undergoing percutaneous coronary intervention and put forward corresponding prevention measures for the postoperative infections .METHODS The clinical data of 625 patients who underwent the percuta‐neous coronary intervention from Jan 2013 to Dec 2013 were statistically analyzed ,then the age ,gender ,underly‐ing diseases ,operation duration ,intervention approach ,and prognosis of the patients with postoperative infections were taken for statistics .RESULTS The postoperative infections occurred in 46 cases with the infection rate of 7 .36% .The incidence of the postoperative infections was associated with the complication of diabetic mellitus （P=0 .009） ,chronic pulmonary disease（P=0 .006） ,or acute myocardial infarction （P=0 .005） ,or long opera‐tion duration （P=0 .001） .Among the patients with postoperative infections ,the patients with respiratory tract infections accounted for 78 .26% ,followed by the patients with gastrointestinal tract infections （10 .87% ）;44 pa‐tients were cured after the treatment ,and 2 patients died .CONCLUSION The incidence of the postoperative infec‐tions is related to the advanced age ,complication of chronic diseases such acute myocardial infraction ,and long op‐eration duration .The accurate preoperative evaluation of illness condition ,complete intraoperative aseptic opera‐tion ,and timely postoperative intervention are the effective measures to prevent the infections .

关 键 词：冠脉介入术 感染分析 预防措施 

分 类 号：R619.3[医药卫生—外科学]